The most challenging
(and the best paying) coding jobs are for surgical coders. Whether you're preparing for a career as a medical
coder, or a Medical Coding Certification Exam, these sample Operative Reports
will help.

These are not just classroom
exercises but Op Reports dictated by an actual surgeon. They are the type of
charts you will code as a medical coding professional.

As a national, coding
consulting firm, we have coded thousands of Op Reports. We don't just hand
you the answer, but work you through the thought process of how to
find the code in the ICD-10 or CPT manual. Each Op Report includes complete,
step-by-step explanations for both the ICD-9 and the CPT Codes.

A current ICD-10
and CPT book is necessary to code the encounters.

Each group of twelve
(12) document will be E-mailed
to you free as a MS Word, rtf or pdf (Adobe) file. Regular mail delivery is $8 per
set of 12 Op Reports.

PROCEDURE: In the
preoperative holding area the site and side and the procedure were
confirmed with the patient. The risks, benefits, and alternatives were
discussed, particularly recurrence. He voiced understanding and desired
to proceed. After adequate general anesthesia, the left hand was
carefully fitted with a finger cot after it had been prepped and draped
in sterile fashion. Using loupe magnification the nail remnant was
carefully excised. Copious irrigation was utilized. A sterile dressing
was applied, and the patient was aroused from anesthesia and taken to
the recovery room having tolerated the procedure well.

Integumentary Nail
Excision Explanation

ICD-9:

Remnant
is the main diagnostic term.

ICD-9:

Subterm
is nail, code 703.8

ICD-9
Answer:

703.8

CPT:

Main
term in the CPT index is Excision, modifying term nails, codes
11750-11752.

CPT:

Code
11750 is selected because the tuft of distal phalanx was not amputated.